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Individual

MISS DANA LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1968 W ADAMS BLVD STE 314, LOS ANGELES, CA 90018-3515
(310) 553-2695
Mailing address
4591 ELLENWOOD DR, LOS ANGELES, CA 90041-3230
(323) 420-5121

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2856
CA

Other

Enumeration date
04/18/2023
Last updated
04/18/2023
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